# Grants to States for Medicaid (93.778)

Source: https://welltoldgrants.com/programs/93-778-grants-to-states-for-medicaid/  
Publisher: Well Told Grants. Data: USAspending.gov and Grants.gov, updated October 31, 2026.

Grants to States for Medicaid is run by Department of Health and Human Services. From fiscal 2021 to 2025 it awarded $3.0 trillion in 1,066 grants, about $2.8 billion per award.

## Objectives

To provide financial assistance to States for payments of medical assistance on behalf of cash assistance recipients, children, pregnant women, and the aged who meet income and resource requirements, and other categorically-eligible groups. In certain States that elect to provide such coverage, medically-needy persons, who, except for income and resources, would be eligible for cash assistance, may be eligible for medical assistance payments under this program. Financial assistance is provided to States to pay for Medicare premiums, copayments and deductibles of qualified Medicare beneficiaries meeting certain income requirements. More limited financial assistance is available for certain Medicare beneficiaries with higher incomes.

## Funding by fiscal year

| Year | Amount | Awards |
|---|---|---|
| 2021 | $516 billion | 255 |
| 2022 | $592 billion | 270 |
| 2023 | $607 billion | 199 |
| 2024 | $615 billion | 251 |
| 2025 | $666 billion | 239 |

## Largest recipients

| Recipient | State | Amount |
|---|---|---|
| California Department of Health Care Services | California | $451 billion |
| NYS Department of Health | New York | $274 billion |
| Health & Human Svc Commn TX | Texas | $172 billion |
| PA Department of Human Services | Pennsylvania | $138 billion |
| Ohio Department of Medicaid | Ohio | $122 billion |
| Florida Agency for Health Care Administration | Florida | $108 billion |
| Illinois Department of Healthcare & Family Services | Illinois | $96 billion |
| North Carolina Department of Health & Human Services | North Carolina | $90 billion |
| Michigan Department of Health and Human Services | Michigan | $88 billion |
| Arizona Health Care Cost Containment System | Arizona | $82 billion |
| New Jersey Department of Human Services | New Jersey | $73 billion |
| The Commonwealth of Massachusetts | Massachusetts | $73 billion |
| Health Services Kentucky Cabinet for | Kentucky | $69 billion |
| Indiana Family and Social Serv | Indiana | $68 billion |
| VA Department of Medical Assistance Service | Virginia | $68 billion |
| Department of Social & Health Services | Washington | $66 billion |
| Lousiana Department of Health | Louisiana | $64 billion |
| Department of Social Services Misso | Missouri | $57 billion |
| Georgia Department of Community Health | Georgia | $56 billion |
| Oregon Health Authority-Public Health | Oregon | $56 billion |